Bestself Behavioral Health Inc.
Clinic/Center Mental Health (Including Community Mental Health Center)
Buffalo, New York
NPI: 1922210657
Risk Tier
High
Total Paid
$57.7M
$57,714,025
Total Claims
189K
Beneficiaries
189K
Avg Cost/Claim
$306.11
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $307.42 per claim for G9005 (Coordinated care fee, risk-adjusted, ESRD), which is 6.5× the national median of $47.08.
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code G9005 (2 unique codes).
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024